Organization
PARTNERS PHYSICIAN GROUP
Active
Other names
Akron General Hand Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAILLARD (VP, FINANCE)
(330) 344-6095
Entity
Organization
Contact information
Practice address
4302 ALLEN RD, STOW, OH 44224-1070
(330) 344-4263
(330) 945-3187
Mailing address
4302 ALLEN RD, STOW, OH 44224-1070
(330) 344-4263
(330) 945-3187
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
OH
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE #
OH
Enumeration date
04/17/2012
Last updated
04/17/2012
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